ATI RN Fundamentals 2023 Exam 3

Extract:

Question 1 of 5

A staff nurse is teaching a newly hired nurse how to complete an informed consent document for a client. The staff nurse should include that the nurse's signature on the form confirms which of the following requirements? (Select all that apply)

A. The client signed in the nurse's presenceB. The client has legal authority to do soC. The client does not have a mental health conditionD. The client was not coercedE. The client speaks the same language as the nurse

Correct Answer: A,B,D

Rationale: The nurse’s signature verifies witnessing the signing (
A), legal capacity (
B), and no coercion (
D). Mental health (
C) isn’t confirmed, and language (E) isn’t required.

Question 2 of 5

A nurse is assessing a client's cranial nerve VII. Which of the following responses should the nurse expect?

A. The client's pupils constrict in response to light.B. The client's tongue is in a midline position:C. The client has a symmetrical smile.D. The client turns their head against resistance.

Correct Answer: C

Rationale: Cranial nerve VII (facial nerve) controls facial expressions; a symmetrical smile (
C) indicates normal function. Pupil constriction (
A) tests cranial nerve II, tongue position (
B) tests XII, and head turning (
D) tests XI.

Question 3 of 5

A nurse is administering multiple types of ophthalmic drops to a client. Which of the following actions should the nurse take?

A. Hold the dropper 3 cm (1.2 in) away from the client's eye.B. Massage the client's eyelids for 20 seconds after instillation.C. Wait 5 min between the administration of each medication.D. Ask the client to close their eyes tightly after instilling each medication.

Correct Answer: C

Rationale: Waiting 5 minutes (
C) between drops prevents interactions and ensures absorption. 3 cm (
A) is too far (1 cm is ideal), massaging (
B) risks injury, and tight closure (
D) expels medication.

Question 4 of 5

A nurse is teaching a client who can only bear weight on one leg how to ambulate using crutches. Which of the following crutch gaits should the nurse plan to instruct the client to use?

A. Two-point alternating gaitB. Swing-through gaitC. Four-point alternating gaitD. Three-point gait

Correct Answer: D

Rationale: The three-point gait (
D) advances crutches and the affected leg together, then the unaffected leg, ideal for one-leg weight-bearing. Two-point (
A) and four-point (
C) require bilateral weight, and swing-through (
B) is for non-weight-bearing.

Question 5 of 5

A nurse is caring for a client who has recently retired from their job. The client states they feel like they no longer have a purpose. Which of the following responses should the nurse make?

A. Can you tell me what you mean by not having any purpose?'B. Have you started volunteering in the community?'C. You must plan to get involved in some new hobbies.'D. You seem in good health and able to handle whatever life presents.'

Correct Answer: A

Rationale: Asking for clarification (
A) shows empathy and explores feelings, aiding therapeutic communication. Volunteering (
B) and hobbies (
C) assume solutions, and health (
D) dismisses concerns.

ATI RN Fundamentals 2023 Exam 3 | Nurselytic

Nurselytic

ATI RN

ATI RN